Needs Assessment
and Research Country-specific and culture-specific information is required
to support advocacy, and formulation of programmes. Issues relating to
reproductive health are sensitive, specially where adolescents are concerned.
The lives of very young adolescents are not typically documented. Their
sexual attitudes and behaviours are not known when these years are supposed
to be the most critical phase of their lives knowing that most of their
expectation and beliefs are developed during this time. Since many of
the adolescents are in school during this crucial period, these years
are prime
target for educational campaign. Curricula on adolescent reproductive
health and sexuality should be based on the results of such research studies.
Both quantitative and qualitative information is needed to understand
attitude, values and behaviour of youngpeople.
Planning, Designing
and Implementing Programmes Programmes should be flexible enough to respond
to changing needs of adolescents and to address the heterogeneity among
adolescents. Needs and requirements vary for younger and older adolescents,
for the urban and the rural, for those in-school and those out-of-school,
for the married and theunmarried, and for men and women. Service providers
must have the necessary technical and communications skills to deliver
adolescent-friendly service. Educators and health workers need to collaborate
in providing information,guidance and counselling.
Involvement of Adolescents
in Planning, Implementation and Evaluation of Programmes Active participation
of adolescents in development, implementation and evaluation of programmes
would go a long way to ensure that the programmes are relevant, well-targeted,
gender sensitive, flexible, and responsive to the needs of adolescents.
Because of peer group influence, participation of adolescents in programme
design and implementation is critical tocommunicating with them.
Formal and Non-formal
Education Plays a Crucial Role in Educating the Youth on Reproductive
and SexualHealth Schools remain to be one of the most credible and important
sources of information and education on reproductive and sexual health.
However, many studies have shown that the youth turn to the mass media
and their peers as the most popular sources of
information. Very often however, such information are not only inaccurate
but are sensationalized. This is where the formal instruction plays a
role in providing accurate information tailored to the educational needs
of the young, based on the cultural and religious environments of their
communities. In many parts of the world, the educational sector, both
formal and non-formal, has introduced population education, family life
education, sex education and the like in various forms and school levels.
Very often however, these efforts are considered timid they are
introduced into the curricula in small amount, scattered and diffused
in many subjects resulting in unconnected messages. They are also usually
implemented in short period of time resulting in the preclusion of those
disadvantaged adolescents who are likely to drop out of schools. Furthermore,
they often only focus on the biological and technical aspects related
to human anatomy and reproductive
systems and changes during puberty and leave out the social and behavioural
aspects dealing with dating, relationships, marriage and contraception
aimed at developing life skills in decision-making, problems solving,
values clarification and sexual negotiation which will prepare the youth
in dealing with lifes vicissitudes and problems concerning theirreproductive
health. As is commonly misperceived, sexuality and reproductive health
education does not encourage sexual activity among the young people. Studies
indicate that sexuality education does not lead young people to engage
in sex. In fact, most of these studies show that education on these subjects
is associated with postponement of the first sexual experience and with
the use of contraceptives among those who are sexually active. (58) The
second volume will deal more on the need for
reproductive and sexual health in both the in-school and out-of-school
sectors as well as the guidelines for developing an educational programme
and curriculumin these fields.
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